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Anterior mediastinal nonseminomatous germ cell tumor

Szeto TS - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Anterior mediastinal nonseminomatous germ cell tumor

History: 19 yo white male who was previously healthy until he developed a chronic dry cough, DOE, and dyspnea x 2 months after returning from a trip from Cancun, Mexico. Pt was diagnosed with walking pneumonia after being seen at a civilian pediatric clinic. Pt's symptoms did not get any better and was eventually seen by his PMD. Pt had a 30 lb intentional weight loss since Nov 2005 (~ 8 months before symptoms, but a 10 lb unintentional wt loss since returning from Mexico.

Findings: CXR- PA/LAT- showed Large anterior mediastinal mass CT Chest- Confirmation of large anterior mediastinal mass with mixed attenuation. The mass exerts considerable mass effect on other mediastinal structures.

Ddx: Thymoma Terrible Lymphoma Thyroid carcinoma Germ Cell tumor (Teratoma, SGCT, NSGCT)

Dxhow: CXR-PA/LAT, Elevated AFP, HCG, LDH, Biopsy- pending

Exam: Pt had a insignificant physical exam. Pt's labs were significant for AFP-6188, B-HCG-110, LDH-3101.

No MeSH data available.


CXR-PA view- shows large anterior mediastinal mass that is confirmed with upper mediastinum measuring 18.5 cm with obvious bulging of the mediastinal margins. The mass obscures the upper heart borders.
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MPX2278_synpic32996: CXR-PA view- shows large anterior mediastinal mass that is confirmed with upper mediastinum measuring 18.5 cm with obvious bulging of the mediastinal margins. The mass obscures the upper heart borders.


Anterior mediastinal nonseminomatous germ cell tumor

Szeto TS - MedPix (2007)

CXR-PA view- shows large anterior mediastinal mass that is confirmed with upper mediastinum measuring 18.5 cm with obvious bulging of the mediastinal margins. The mass obscures the upper heart borders.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2278&req=5

MPX2278_synpic32996: CXR-PA view- shows large anterior mediastinal mass that is confirmed with upper mediastinum measuring 18.5 cm with obvious bulging of the mediastinal margins. The mass obscures the upper heart borders.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Anterior mediastinal nonseminomatous germ cell tumor

History: 19 yo white male who was previously healthy until he developed a chronic dry cough, DOE, and dyspnea x 2 months after returning from a trip from Cancun, Mexico. Pt was diagnosed with walking pneumonia after being seen at a civilian pediatric clinic. Pt's symptoms did not get any better and was eventually seen by his PMD. Pt had a 30 lb intentional weight loss since Nov 2005 (~ 8 months before symptoms, but a 10 lb unintentional wt loss since returning from Mexico.

Findings: CXR- PA/LAT- showed Large anterior mediastinal mass CT Chest- Confirmation of large anterior mediastinal mass with mixed attenuation. The mass exerts considerable mass effect on other mediastinal structures.

Ddx: Thymoma Terrible Lymphoma Thyroid carcinoma Germ Cell tumor (Teratoma, SGCT, NSGCT)

Dxhow: CXR-PA/LAT, Elevated AFP, HCG, LDH, Biopsy- pending

Exam: Pt had a insignificant physical exam. Pt's labs were significant for AFP-6188, B-HCG-110, LDH-3101.

No MeSH data available.